KELLY MICHELLE WOOD

FORT WAYNE, IN
NPI1710280888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: IN  32001909A)
Enumeration Date2010-12-13
Last Update Date2010-12-13
Business Address
-- KELLY MICHELLE WOOD COTA
8528 KILLEEN RUN
FORT WAYNE, IN 46835-9657
Phone number: 260-414-0079
Mailing Address
-- KELLY MICHELLE WOOD COTA
8528 KILLEEN RUN
FORT WAYNE, IN 46835-9657
Phone number: 260-414-0079
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